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1568519718
ELLEN MARIE JACKSON
FALMOUTH, ME
NPI
1568519718
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC1392)
Enumeration Date
2007-01-03
Last Update Date
2010-06-14
Business Address
Mrs. ELLEN MARIE JACKSON LCSW
3 FUNDY RD
FALMOUTH, ME 04105-1796
Phone number: 207-780-9966
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Mailing Address
Mrs. ELLEN MARIE JACKSON LCSW
3 FUNDY RD
FALMOUTH, ME 04105-1796
Phone number: 207-780-9966
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